Ondrej Chudoba, M.D., S.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ONDREJ CHUDOBA, M.D., S.C.

Practice address

11317 Smith Dr
11924 Oak Creek Parkway
Huntley, IL 60142-9602

Phone

(847) 515-8131

Fax

(847) 515-8142

NPI assigned

Nov 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ondrej Chudoba, M.D.NPI 1285724906

Title

President

Phone

(630) 415-3087

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ondrej Chudoba, M.D.

  • Psychiatry Physician
  • Huntley, IL
  • NPI 1285724906
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154498533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11317 SMITH DR",
            "address_2": "11924 OAK CREEK PARKWAY",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429602",
            "telephone_number": "847-515-8131",
            "fax_number": "847-515-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11317 SMITH DR",
            "address_2": "11924 OAK CREEK PARKWAY",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429602",
            "telephone_number": "847-515-8131",
            "fax_number": "847-515-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONDREJ CHUDOBA, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHUDOBA",
        "authorized_official_first_name": "ONDREJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-415-3087",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1627496",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oaklund Medical Group, LTD
• Veronica Oconnor, RPH
• Emmanuel Bentil Ofori Danso
• Olive Branch Nutrition LLC
• Ondrej Chudoba, M.D.
• Kathryn N Orona, CRNA
• Orthomidwest, PLLC
• Renata Osadnik, M.D.
• Lisa M Paluszkiewicz, DPT
• Courtney A Papciak, PA-C

• Psychiatry Physician in Huntley, IL
• Providers in Huntley, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.